Best evidence summary for prevention and management of high-output ileostomy
10.3760/cma.j.cn211501-20241119-03179
- VernacularTitle:肠造口高排量预防及管理的最佳证据总结
- Author:
Qing ZHANG
1
;
Haiyan HU
;
Xin YIN
;
Xiaoshuang ZHAO
;
Yuting XU
;
Tingting HE
;
Jianan SUN
Author Information
1. 吉林大学第一医院普外中心胃结直肠外科，长春 130021
- Publication Type:Journal Article
- Keywords:
Enterostomy;
Evidence-based medicine;
High-output ileostomy;
Prevention;
Management;
Evidence summary
- From:
Chinese Journal of Practical Nursing
2025;41(29):2301-2307
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, appraise and synthesize evidence regarding the prevention and management of high-output ileostomy in post-enterostomy patients, thereby providing a scientific reference for clinical practice.Methods:A computerized search was conducted, systematically exploring national and international databases, as well as the websites of pertinent associations, to gather evidence relevant to the topic. The literature types included clinical decision-making, evidence summaries, guidelines, expert consensus, and systematic reviews. The search timeframe was established from the date of database construction until 23 August 2024. The methodological quality assessment of the literature, along with the extraction and synthesis of the evidence, was performed by two independent researchers utilizing established criteria and adhering to rigorous standards.Results:A total of 13 papers were included in the review, comprising one clinical decision, four guidelines, and eight systematic reviews. Eighteen pieces of best evidence were distilled and summarized across six key areas: diagnosis and risk identification, fluid/diet/nutrition management, medication administration, skin management, monitoring and health education, and follow-up care.Conclusions:The clinical practice rationale for the prevention and management of high-output ileostomy in post-enterostomy patients, when summarized, would offer scientific and effective evidence-based support for practice changes by clinical care staff. The practical application and translation of this evidence should thoroughly consider the nuances of clinical practice in China, as well as individual patient differences, to ensure the effective implementation of the best evidence for maximizing patient benefit.
